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不明原因发热患者的临床特征和实验室检查结果对18F-FDG PET/CT显像诊断效能的影响

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中华核医学与分子影像杂志 2018年第8期38卷 582-583页

作者：唐军 Ana mar.a García-Vicente mar.a Jesús Tello-Galán mar.ano Amo-Salas Juan Ros-Izquierdo German Andrés Jiménez-Londofio Beatriz La Rosa Salas guadalupe Prado-Serrano Pradas Francisco José Pena-Pardo ngel Soriano-Castrejón 上海交通大学医学院附属苏州九龙医院核医学科 Nuclear Medicine Department University General HospitalCiudad RealSpain

目的评价患者临床特征及实验室检查结果对18F-脱氧葡萄糖(FDG) PET/CT显像诊断不明原因发热(FUO)的影响。方法回顾性纵向分析FUO患者的PET/CT显像结果。参考标准为血清学检查、各种细菌培养或活组织检查结果,必要时参考其他实验室检查... 详细信息

目的评价患者临床特征及实验室检查结果对18F-脱氧葡萄糖(FDG) PET/CT显像诊断不明原因发热(FUO)的影响。方法回顾性纵向分析FUO患者的PET/CT显像结果。参考标准为血清学检查、各种细菌培养或活组织检查结果,必要时参考其他实验室检查或临床随访结果。收集患者PET/CT显像近几天内的临床特征、炎性标志物、蛋白质分析、血清学检查和细菌培养结果。根据不同病因最终诊断分为3组:第1组为感染或肿瘤,第2组为脉管炎、自身免疫性疾病或非感染性炎性疾病,第3组为未明确诊断的自限性发热或持续性发热。PET/CT显像结果分为阳性或阴性、有助于或无助于诊断发热来源。分析患者临床特征和实验室检查结果对PET/CT结果的影响。结果 67例患者最终诊断分组为:第1组25例,第2组20例,第3组22例。89.6%的患者炎性标志物阳性,28.4%的蛋白质检测阳性,20.9%的细菌培养结果阳性。67例患者中,PET/CT显像阳性52例,25例有助于诊断发热来源,其中对第1组和第2组帮助尤其大。PET/CT显像的灵敏度、特异性和准确性分别为84%、31%和61%。PET/CT显像结果与最终诊断(P=0.035)和细菌培养结果(P=0.037)相关,而与其他临床特征或实验室检查结果无明显相关性。结论18F-FDG PET/CT显像诊断FUO的灵敏度高,但特异性低,可能的原因是FUO的病原范围很广,也有一些是自限性发热。最有可能从PET/CT显像获益的患者是那些多种炎性标志物阳性的患者,这些患者有活动性病变的可能性更高。

关键词：不明原因发热(FUO) 18F-FDG PET/CT 炎性标志物诊断

Empathy Levels of Dental Students of Central America and the Caribbean

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Health 2015年第12期7卷 1678-1686页

作者： Víctor Patricio Díaz-Narváez Ana mar.a Erazo Coronado Jorge Luis Bilbao Farith González mariela Padilla Madeline Howard guadalupe Silva Joel Arboleda Mirian Bullen Robert Utsman Elizabeth Fajardo Luz marina Alonso marcos Cervantes Facultad de Odontología Universidad San Sebastián Santiago Chile Universidad Autónoma de Chile Santiago Chile Universidad Metropolitana Barranquilla Colombia Facultad de Medicina Universidad Libre Seccional Barranquilla y Fundación Universitaria San Martín Sede Puerto Colombia Barranquilla Colombia Facultad de Odontología Universidad de Cartagena Cartagena Colombia Universidad Latinoamericana de Ciencia y Tecnología San José Costa Rica Facultad de Odontología Universidad de Costa Rica San José Costa Rica Universidad Central del Este San Pedro de Macorís República Dominicana Facultad de Odontología Universidad de Panamá Ciudad de Panamá República de Panamá Faculty of Health Sciences Universidad del Tolima Ibagué Colombia División de Salud Universidad del Norte Barranquilla Colombia Facultad de Ciencias Sociales Universidad del Norte Barranquilla Colombia

Objective: The aim of this study is to check whether there are differences in the distribution of empathy levels in dental students from nine faculties of dentistry Colombia, Panama, Costa Rica and Dominican Republic. Methods: The levels of empathy and matrices of empathy construct matrices are estimated dental students by using the Jefferson Scale of Physician Empathy, the Spanish version for students (S version) culturally validated in Colombia, Panama, Costa Rica and Dominican Republic measured by arbitrator criteria. Cronbach α is estimated. Data of empathic orientation of the studied factors between faculties are analyzed and compared by ANOVA and Duncan test and matrices of empathy construct using discriminant analysis. Results: We find that there are differences in levels of empathy between universities, courses, gender and interaction between the Dental Faculty (University) and Course. The comparison between matrices shows unexplained variances and differences observed between the levels of empathy in student populations. Conclusions: Variability in empathy is observed in the studied factors and among student populations. The variability is an empirical finding, but is not possible in this work, to explain why.

关键词： Empathy Jefferson Scale of Physician Empathy (JSPE) Levels of Empathy

Parasite Communities of the Pacific Mole Crab,Emerita rathbunae(Anomura:Hippidae),in Sandy Beaches from Guerrero and Michoacan,Mexico

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Open Journal of marine Science 2015年第4期5卷 468-476页

作者： Juan Violante-Gonzalez guadalupe Quiterio-Rendon Scott Monks Sergio García-Ibanez Griselda Pulido-Flores Agustín A.Rojas-Herrera Edvino Larumbe-Moran Unidad Académica de Ecología marina Universidad Autónoma de GuerreroAcapulcoMéxico Centro de Investigaciones Biológicas Universidad Autónoma del Estado de HidalgoPachucaMéxico Centro de Estudios Tecnológicos del mar Lazaro CardenasMexico

The species composition and infection levels were determined for helminth parasites in the mole crab, Emerita rathbunae, collected from seven sandy beaches from Guerrero and Michoacán, México. A total of 494 crabs were collected between August and December of 2009. The number of crabs that were examined from each beach varied from 40 in Lázaro Cárdenas to 114 in El Revolcadero. The cephalothorax length varied significantly between the sampled beaches, from 32.9 ± 5.5 mm (Ixtapa) to 40.5 ±1.7 mm(Las Trancas). Four species of larval parasites were identified: 1 metacercaria (Microphallus nicolli), 1 cystacanth (Profilicollis sp.), 1 cestode (Trypanorhyncha) and 1 nematode (Proleptus sp.). Infection levels (prevalence and mean abundance) varied significantly between beaches, due to possible differences in the availability of final or intermediate hosts in beaches visited by tourist and those beaches not visited by tourists, as well as the size of individual hosts. Helminth communities, at levels of component and infracommunity, were characterized by a low number of species (3 to 4) and a high dominance by the metacercaria of M. nicolli. The body size of the hosts was positively correlated with the number of parasites and species richness of helminths, indicating that larger crabs accumulate a higher number of parasites during the lifetime, and that they harbor a higher number of species of helminth than smaller crabs.

关键词： Parasite Community Emerita rathbunae Hippidae Mexican Pacific Coast

Acceptance of living liver donation among medical students: A multicenter stratified study from Spain

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World Journal of Gastroenterology 2016年第25期22卷 5800-5813页

作者： Antonio Ríos Ana Isabel López-Navas Ana Isabel López-López Francisco Javier Gómez Jorge Iriarte Rafael Herruzo Gerardo Blanco Francisco Javier Llorca Angel Asunsolo Pilar Sánchez-Gallegos Pedro Ramón Gutiérrez Ana Fernández mar.a Teresa de Jesús Laura martínez-Alarcón Alberto Lana Lorena Fuentes Juan Ramón Hernández Julio Virseda José Yelamos José Antonio Bondía Antonio Miguel Hernández marco Antonio Ayala Pablo Ramírez Pascual Parrilla International Collaborative Donor Project ('Proyecto Colaborativo Internacional Donante' 30007 Casillas Murcia Spain Department of Surgery Paediatrics Obstetrics and Gynaecology University of Murcia Avenida de las Fuerzas Armadas 30800 Espinardo Murcia Spain Transplant Unit Surgery Service IMIB - Virgen de la Arrixaca University Hospital Carretera Madrid-Cartagena s/n 30120 El Palmar Murcia Spain Regional Transplant Centre Consejeria de Sanidad y Consumo de la Region de Murcia 30008 Ronda de Levante Murcia Spain Hospital Clinico Universitario Virgen de la Arrixaca Departamento de Cirugia General y del Aparato Digestivo Unidad de Trasplantes 30007 Casillas Murcia Spain Department of Psychology Universidad Catolica San Antonio (UCAM) Avenida de los Jeronimos 30107 Guadalupe Murcia Spain Department of Urology San Juan University Hospital of Alicante 03010 Calle Pintor Baeza Alicante Spain Universidad de Granada Avenida del Hospicio s/n 18010 Granada Spain Universidad de Navarra Campus Universitario 31080 Pamplona Navarra Spain Universidad Autonoma de Madrid Ciudad Universitaria de cantoblanco 28049 Madrid Spain Servicio de Cirugia HBP y Trasplante Hepatico Complejo Hospitalario Universitario de Badajoz Hospital Infanta Cristina Avenida Elvas s/n 06006 Badajoz Spain Universidad de Cantabria Avenida los Castros s/n 39005 Santander Cantabria Spain Departamento de Cirugia Ciencias Medicas y Sociales Facultad de Medicina y Ciencias de la Salud Universidad de Alcala Campus Cientifico-Tecnologico Plaza de San Diego s/n 28801 Alcala de Henares Madrid Spain Facultad de Medicina Universidad de Malaga 29071 Avenida de Cervantes Malaga Spain Servicio de Urologia (Complejo Hospitalario Universitario de Canarias CHUC) y Departamento de Cirugia (Universidad de La Laguna ULL) Calle Molinos de Agua s/n 38207 San Cristobal de La Laguna Santa Cruz de Tenerife Spain Departamento de Ciencias Biomedicas Basicas Facultad de Ciencias Biomedicas Universidad Europea de

AIM: To analyze the attitude of Spanish medical students toward living liver donation (LLD) and to establish which factors have an influence on this ***: Study type: A sociological, interdisciplinary, multicenter and observational study. Study population: Medical students enrolled in Spain (n = 34000) in the university academic year 2010-2011. Sample size: A sample of 9598 students stratified by geographical area and academic year. Instrument used to measure attitude: A validated questionnaire (PCID-DVH RIOS) was self-administered and completed anonymously. Data collection procedure: Randomly selected medical schools. The questionnaire was applied to each academic year at compulsory sessions. Statistical analysis: Student´s t test, χ2 test and logistic regression ***: The completion rate was 95.7% (n = 9275). 89% (n = 8258) were in favor of related LLD, and 32% (n = 2937) supported unrelated LLD. The following variables were associated with having a more favorable attitude: (1) age (P = 0.008); (2) sex (P < 0.001); (3) academic year (P < 0.001); (4) geographical area (P = 0.013); (5) believing in the possibility of needing a transplant oneself in the future (P < 0.001); (6) attitude toward deceased donation (P < 0.001); (7) attitude toward living kidney donation (P < 0.001); (8) acceptance of a donated liver segment from a family member if one were needed (P < 0.001); (9) having discussed the subject with one’s family (P < 0.001) and friends (P < 0.001); (10) a partner’s opinion about the subject (P < 0.001); (11) carrying out activities of an altruistic nature; and (12) fear of the possible mutilation of the body after donation (P < 0.001).CONCLUSION: Spanish medical students have a favorable attitude toward LLD.

关键词： Attitude Living liver donation Medical students Transplantation Organ donation Psychosocial variables Spain

Development of a Construction Material for Indoor and Outdoor, Metakaolinite-Based Geopolymer, with Environmental Properties

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材料科学与工程（中英文A版） 2019年第4期9卷 131-142页

作者： M.Mondragón-Figueroa Héctor.R.Guzmán-Carrillo MiguelÁngel Rico JoséLuis.Reyez-Araiza Jorge.Pineda-Piñón Edgar J.López-Naranjo mar.a C.Columba-Palomares Jóse.M.López-Romero Josè.Ramón Gasca-Tirado Alejandro.Manzano-Ramírez CINVESTAV-Querétaro Libramiento Norponiente#2000Fraccionamiento Real de JuriquillaQuerétaro 76230Qro.México Facultad de Química Universidad Autónoma de Querétaro centro de estudios Académicos sobre contaminación AmbientalQuerétaro 76010Qro.México DIPFI Facultad de IngenieríaUniversidad Autónoma de QuerétaroC.U.Cerro de las CampanasCentroQuerétaro 76010Qro.México Instituto Politécnico Nacional Centro de Investigación en Ciencia Aplicada y Tecnología AvanzadaUnidad QuerétaroCerro Blanco No.141Colinas del CimatarioQuerétaro76090Qro.México DIP-CUCEI Universidad de GuadalajaraJoséGuadalupe Zuno#48Los BelenesZapopan 45100Jal.México Facultad de Farmacia Universidad Autónoma del Estado de MorelosAv.Universidad#1001Cuernavaca 62209Mor.México Departamento de Ingeniería Universidad de GuanajuatoGuanajuato 36000México

Environmental problems that came from the human activity have many facets,since pollution of the atmosphere arises from vehicles,industrial emissions while pollution of water could be from organic compounds,pesticides *** can cause serious health effects,such as respiratory diseases,including asthma and lung ***,in the present work,a kinetic study on the effective adsorption and photo degradation of methylene blue(MB)dye,under ultraviolet A(UVA)irradiation of an alkali activated inorganic polymer(geopolymer)with homogeneously dispersed titanium dioxide(TiO2)micro-particles is *** addition,antimicrobial testing of the alkali activated TiO2 material was performed showing a bacteriostatic effect.

关键词： Heterogeneous photocatalysis semiconductor alkali activated bacteriostatic effect